Organization Active NPI

La Canada Family Therapy

  • Marriage & Family Therapist
  • La Canada Flintridge, CA
National Provider Identifier
1609427640
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
LA CANADA FAMILY THERAPY
Practice address
1150 Foothill Blvd Ste L
La Canada Flintridge, CA 91011-3271
Phone
(626) 319-5477
NPI assigned
Sep 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Stephenie H Lievense, LMFT
Title
Founder/Director
Phone
(626) 319-5477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1150 Foothill Blvd Ste L
La Canada Flintridge, CA 91011-3271

Mailing address

1150 Foothill Blvd Ste L
La Canada Flintridge, CA 91011-3271
Phone (626) 319-5477

National Provider Directory

National Provider Directory

Locations

1150 Foothill Blvd
Ste L
La Canada Flintridge, CA 91011
Phone (626) 319-5477

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1609427640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 FOOTHILL BLVD STE L",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910113271",
            "telephone_number": "626-319-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 FOOTHILL BLVD STE L",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910113271",
            "telephone_number": "626-319-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CANADA FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "LIEVENSE",
        "authorized_official_first_name": "STEPHENIE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "FOUNDER/DIRECTOR",
        "authorized_official_telephone_number": "626-319-5477",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Canada Flintridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.